Part III Patient Encounters and Performance Skills (PEPS) — Assessment Information
US · Examination information
Part III Patient Encounters and Performance Skills (PEPS)
This assessment does not have a question bank.
- Provider
- National Board of Examiners in Optometry (NBEO); administered at the National Center of Clinical Testing in Optometry (NCCTO), Charlotte, NC
- Format
- 12-station performance-based examination with standardized patients: 10 patient encounter stations and 2 performance skills stations; every station cycle is audio and video recorded; encounter notes and skills are scored by licensed optometrist examiners
- Time limit
- 4.5-hour session; each exam cycle is 15 minutes with 3 minutes of observation time
- Passing score
- Pass/fail against an overall cut-off requirement; scale scores are not reported
- Exam fee
- $1490 (rates for examinations administered beginning August 2026)
Examination sources
- NBEO Part III PEPS Blueprint & Content Outline
Page 1, Competency Domains table
- NBEO Part III PEPS Blueprint & Content Outline
Page 1, Clinical Presentation Categories table
- NBEO Part III PEPS Blueprint & Content Outline
Page 3, exam model
- NBEO Part III PEPS Candidate Guide
Part III PEPS Overview
- NBEO Part III PEPS Candidate Guide
Overview of terms, Encounter Examiner
- NBEO Part III PEPS Candidate Guide
Scoring Practices
- NBEO Scoring & Reporting page
Score Scaling and Reporting paragraph, Part III PEPS
- NBEO Exam Policies & Eligibility page
Exam Eligibility Policy, student candidates, Part III PEPS
- NBEO Part III PEPS Candidate Guide
Arrival to test center, reporting time
- NBEO Exam Fees page
Exam Fees table, heading
- NBEO Exam Fees page
Exam Fees table, Part III PEPS row
Related license preparation
This examination may be required or accepted as an alternative, depending on the license and application pathway.
- Temporary License for Child Support Arrears; temporary military courtesy license; temporary license for military personnel; Optometrist License; Restricted Optometrist License; retired status license
- Optometrist License; Pharmaceutical Agent Number; Certificate of Special Qualification; Volunteer Health Services Registration
- Diagnostic Pharmaceutical Agents Certification; Optometrist Fictitious Name Permit; home residence permit; immunization certificate; Inactive Optometrist License; Optometrist License; Temporary Optometrist License for Military Spouses or Partners; Probationary Optometrist License; Retired Optometrist License; license with retired volunteer service designation; TLG; therapeutic pharmaceutical agents (tpa) certification; TPG; TPL
- Temporary Emergency License; Inactive Status License; Credentialing for Procedures Requiring Injections or Lasers; License to Practice Optometry; Probationary License to Practice Optometry; Temporary License Pending Child-Support Compliance
- Expanded Therapeutic Procedures Credential; Expanded Therapeutic Laser Procedures Credential; License to Practice Optometry; Limited License to Practice Optometry
- certificate of qualification in the utilization of dpas; Optometrist License; Temporary License for a Military Spouse; certificate of qualification in the utilization of tpas
- Optometrist License; clinical academic limited license; educational limited license; Optometrist Limited License; Optometrist Nonclinical Limited License; special volunteer license; Optometrist Temporary License; Optometrist Therapeutic Pharmaceutical Agents Certification
- Optometrist License; Optometrist License Subject to Probation; Certification to Use Pharmaceutical Agents; One-Time Nonrenewable Two-Year Temporary Optometrist License
- Optometrist License; Certification to Use Pharmaceutical Agents for Diagnostic Purposes; Military Spouse Temporary Credential; Certification to Use Pharmaceutical Agents for Therapeutic Purposes
- licenses to operate extended clinical facilities for the treatment of visual disorders; certificate of registration of the assumed or fictitious name; Certificate to Treat Persons Diagnosed with Glaucoma; Permit to Provide Optometric Services for a Health Maintenance Organization; License to Practice Optometry; Certificate to Own or Operate a Mobile Optometry Clinic; Certificate to Administer and Prescribe Pharmaceutical Agents; Certificate as a Substitute Optometrist
- Authorization to Prescribe Controlled Substances; Certification to Use Diagnostic Pharmaceutical Agents; Certification to Treat Glaucoma; License to Practice Optometry; Provisional License to Practice Optometry; Temporary Permit; Certification to Use Therapeutic Pharmaceutical Agents
- Optometrist; Temporary Professional License (Military Spouse)
- Optometrist License